Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Administrative Procedures

  • 15.1. Lack of/or inadequate Site Specific Safety Plan?

  • 15.2. Failure to obtain permits for Hot Work, Confined Space, Dig Permits, etc?

  • 15.3. Lack of/or inadequate site specific orientations for workers, subcontractors and visitors?

  • 15.4. Lack of/or inadequate supervision? Superintendent/Foreman?

  • 15.5. Lack of/or inadequate training, licenses, skills, experience?

  • 15.6. Lack of/or inadequate site specific plans for high risk work, critical lift, confined space, excavations, fall protection?

  • 15.7. Lack of/or inadequate system to review site specific safety plans, A&P and subcontractors?

  • 15.8. Lack of/or inadequate incident/accident notification procedures?

  • 15.9. Lack of/or inadequate weekly safety audits and storm water audits?

  • 15.10. Safety postings in place?

  • 15.11. Weekly safety meetings for A&P and all subcontractors?

  • 15.12. Public safety - fencing, danger signs, flaggers, cones, barricades?

2. Emergency Response/Crisis Management

  • 2.1. Lack of/or inadequate crisis management plan for site? Crisis management kit on site?

  • 2.2. Emergency procedures and phone numbers not displayed on site?

  • 2.3. Lack of/or inadequate training and drills conducted for crisis management plan?

  • 2.4. Lack of/or inadequate first aid kit on site? Fully stocked?

  • 2.5. Insufficient access to formally trained first aid personnel? A&P and subcontractor foremen?

  • 2.6. Lack of/or inadequate communication equipment?

3. Occupational Health Hazards

  • 3.1. Site specific demolition in place?

  • 3.2. Lack of/or inadequate dust suppression system?

  • 3.3. Asbestos issues and abatement?

  • 3.4. Lead issues and abatement?

4. Pre-Task Planning

  • 4.1. Pre-task planning forms/cards filled out daily and with each new task?

  • 4.2. Pre-task planning forms/cards incomplete? Missing information?

  • 4.3. Not following JHA procedures?

  • 4.4. Lack of/or inadequate training on pre-task planning for employees and subcontractors?

5. Working at Heights

  • 5.1. Fall risks of 6ft or more? (including voids, pits, and trenches)

  • 5.2. Lack of edge protection? Guardrails, toe boards?

  • 5.3. Unsafe or incomplete edge protection? Guardrails, toe boards?

  • 5.4. Is there adequate overhead falling object protection?

6. Power and Hand Tools

  • 6.1. Unsafe or damaged equipment? (including missing or damaged guards)

  • 6.2. Incorrect equipment or tools for the job? (e.g. grinding discs for cutting)

  • 6.3. Hand and power tools in good condition?

  • 6.4. Trained and/or certified operators?

  • 6.5. Powder actuated tools - signage, training, tool left unsupervised, unspent rounds, rounds disposed of properly?

  • 6.6. Lack of LOTO procedures for cleaning, servicing and maintenance?

  • 6.7. Hand and power tools inspected prior to use and tagged out if defective or unsafe?

7. Scaffolds

  • 7.1. Competent person on site for scaffold erection?

  • 7.2. Unsafe or incomplete scaffold?

  • 7.3. Daily inspections completed and documented?

  • 7.4. All open sides and ends of scaffold over 6ft have standard guardrails and toe boards?

  • 7.5. Proper access ladders or stairs to scaffold?

  • 7.6. Safe Work Load (SWL) exceeded? (tools, stored materials, number of persons)

  • 7.7. Scaffold set on base plates and secured to mud sills?

  • 7.8. Are wheels on rolling scaffold locked when in use?

  • 7.9. Are all scaffolding components free from damage?

8. Cranes and Lifting Equipment

  • 8.1. Unsafe or damaged equipment?

  • 8.2. Lack of maintenance, testing and inspection?

  • 8.3. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • 8.4. Lack of safety stickers or operator manual?

  • 8.5. Annual, monthly and daily inspections available?

  • 8.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  • 8.7. Certified and trained operator, riggers and signal persons?

  • 8.8. Lack of LOTO procedures for cleaning, servicing and maintenance?

  • 8.9. Unlicensed operators?

  • 8.10. Safe working load of equipment exceeded?

  • 8.11. Is the swing radius barricade in place on cranes?

  • 8.12. Are tag lines used to control loads?

  • 8.13. Is there a fire extinguisher in all cabs?

9. Fall Protection Equipment

  • 9.1. Unsafe or damaged harness or equipment?

  • 9.2. Incompatible hooks/equipment?

  • 9.3. Unlabeled or does not meet OSHA standards?

  • 9.4. Unsafe or uncertified anchor points?

  • 9.5. Lack of inspection protocol for equipment?

  • 9.6. Lack of or inadequate formal training for operators?

  • 9.7. Equipment worn properly?

10. Ladders and Stairs

  • 10.1. Unsafe or damaged ladders?

  • 10.2. Unsafe positioning of ladders? 3ft above landing?

  • 10.3. Ladder not properly secured?

  • 10.4. Ladder unsuitable for job? Aluminum ladders? Folding ladder used as an extension ladder?

  • 10.5. Ladder safety warning stickers, duty rating legible?

  • 10.6. Stairs - handrails, stair rails, lighting, pans filled?

11. Hazardous Chemical (Including Fuel and Oil)

  • 11.1. Unsafe storage location? (e.g. flammables near ignition sources, spills could enter stormwater drains, etc)

  • 11.2. Incompatible chemicals stored near each other? Oxygen/acetylene not separated?

  • 11.3. Inadequate spill containment equipment?

  • 11.4. Safety Data Sheets not accessible on site?

  • 11.5. Lack of emergency procedures for injury/spills/fire etc?

  • 11.6. Excessive quantities stored on site or in vehicles?

  • 11.7. Insufficient ventilation?

  • 11.8. Insufficient, or incorrect, PPE?

  • 11.9. Unsuitable storage containers? Unlabeled containers?

12. Traffic Management

  • 12.1. Lack of, or inadequate, Traffic Management Plan (TMP) in place?

  • 12.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)

  • 12.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

13. Personal Protective Equipment (PPE)

  • 13.1. Lack of, or inadequate PPE (including sun protection)

  • 13.2. Lack of system to issue, inspect, replace and monitor PPE?

  • 13.3. Lack of training in safe use, clean-up and inspection of PPE?

  • 13.4. Respirator Program - medical exam, fit test, written program, voluntary use documentation?

14. Work Environment

  • 14.1. Lack of/or inadequate amenities? (toilets, wash areas, lunch rooms, etc)

  • 14.2. Insufficient lighting? Temp light maintenance?

  • 14.3. Inadequate housekeeping?

  • 14.4. Drinking water provided? Cups/trash receptacle?

  • 14.5. Impalement hazards protected? Rebar capped?

  • 14.6. Laser training, signs posted?

  • 14.7. Floor holes covered or protected?

15. Electrical Hazards

  • 15.1. Unsafe electrical cords/leads?

  • 15.2. Lack of GFCI protection?

  • 15.3. Exposure to underground utilities? Locate ticket in place?

  • 15.4. Exposure to overhead electrical lines?

  • 15.5. Overloading outlets?

  • 15.6. Cords/Leads placed on ground or on metal structures? Cords protected from damage?

  • 15.7. Electrical equipment or cords/leads near water?

  • 15.8. Electrical equipment near flammables?

  • 15.9. Electrical cords/leads creating tripping hazards?

  • 15.10. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

  • 15.11. Are there proper warning signs on electrical rooms? Electrical rooms locked?

16. Fire Protection

  • 16.1. Fire extinguishers properly located?

  • 16.2. Monthly and annual inspections up to date?

  • 16.3. Fire watch and fire extinguishers for all Hot Work?

17. Excavations and Trenching

  • 17.1. Competent person on site?

  • 17.2. Dig permit in place for each dig location (Daily)?

  • 17.3. Proper sloping, shoring, benching?

  • 17.4. Spoil and equipment back 2ft or more from edge?

  • 17.5. Ladder in place over 4ft deep and every 25ft and secured?

  • 17.6. Are open trenches and excavations adequately barricaded?

18. Housekeeping

  • 18.1. Are aisles, corridors and building access areas free of debris and materials?

  • 18.2. Are there adequate trash containers and dumpsters for trash and recyclables?

19. Aerial Boom and Scissor Lifts

  • 19.1. Aerial boom lift and scissor lift operators trained and have a card?

  • 19.2. Are aerial boom lift operators and workers wearing proper fall protection equipment?

  • 19.3. Are scissor lift guardrails and safety chain in use?

20. Forklifts, Trucks and Heavy Equipment

  • 20.1. Do forklift operators have proof of training?

  • 20.2. Does equipment have seat belts installed? Are they serviceable?

  • 20.3. Are equipment operators wearing seat belts?

  • 20.4. Does equipment have an operable back up alarm and front horn?

  • 20.5. Are equipment operators making eye contact with workers on the ground?

  • 20.6. Fire extinguisher mounted and readily accessible on equipment? Inspected regularly?

  • 20.7. Are operator manuals in place and accessible on equipment?

21. Stormwater Management

  • 21.1. Has the SWMPPP Plan for this site been developed?

  • 21.2. Has the Stormwater Permit been applied for and received?

  • 21.3. Are Stormwater Audits completed weekly and after every weather event?

  • 21.4. Is the project Stormwater map posted? Changes updated on map?

  • 21.5. Are BMP deficiencies corrected within 24 hours?

Corrective Actions

  • Enter any corrective actions that will be undertaken

Sign Off

  • On site representative

  • Auditor's signature

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